痧毒入肾，则腰痛不能俯仰，若误饮热汤热酒，必然烦躁昏迷，手足搦搐，舌短耳聋，垂毙而已。
治验∶
一黄敬宇内室，腰中大痛，强硬如板。误饮热酒，发热烦躁，昏沉痰涌。延余，左尺虚微，右尺洪实，脉兼歇指，
痧中于肾也。刺腿弯痧筋，仅有紫黑血点不流。用降香桃花散微冷服，痧筋腿弯复现，刺二针血流如注。又服二散痧退
痛减，调理而痊。
一伍恒生子，腰痛，放痧四次不痊。沉重大痛，连及胸胁。延余，左手无脉，辞之，六日而殂。
痧毒入大小肠，则小腹大痛不止，形如板推，绞绞不已，治之须分左右二股，屈伸为验。
治验∶
一盛成均子，小腹大痛，每每左卧，左足不能屈伸，太阳小肠经痧也。痧筋不现，用木通汤，微冷服四剂，方见左
腿弯痧筋，刺出紫黑毒血二针，用红花汤冷下，痧退后调理而愈。
一范季廉小腹大痛，每每右卧，右足不能屈伸，阳明大肠经痧也。刺腿弯青筋四针，毒血成流，不愈。用枳实大黄
汤，冷服，半夜痧退少安。后调理而愈。
一钟孟芳小腹大痛，放痧三次，不愈。延余治之，脉数而疾。余曰∶“痧毒已攻坏脏腑矣。”辞之，半月而亡。
痧毒留于气分，成气痞痛，留于血分，成血块痛，壅于食积阻滞，成食积块痛。盖因刮痧放痧稍愈，痧毒未尽，不
用药以消之之故。施治之法，在气分者，用沉香、砂仁之类治之；在血分者，用桃仁、红花之类治之；食积阻滞者，用
卜子、槟榔之类治之；或气血二分俱有余毒者，当兼治之；若更兼食积所阻有余毒者，当并合治之。
治验∶
一王介甫内室，腹痛，放痧二次，忽左胁有块屡痛不止，坐卧不安。延余，脉芤而沉微，此毒留滞不行之故。用苏
木散并三香散合桃仁红花汤，微温服，块消痛减而痊。
一陈奉山腹中绞痛，放痧三次，变右胁下块，大痛不止，卧不能起。延余，脉沉实而弦紧，此食积为患，用阿魏丸
并棱术汤加牛膝，治之而痊。
一夏少溪内室，腹痛，放痧稍愈，左胁下变成块痛，口吐痰涎，卧床不起。延余，脉沉而微滑，用沉香阿魏丸加贝
母、白芥子治之而痊。
一张弘先痧胀变为胸前左乳之上有一点痛，辞之，半年后，吐血而殂。
痧毒侵入肾脏，就会导致腰部剧烈疼痛，身体无法前俯后仰。如果误饮热汤或热酒，必然会出现烦躁不安、昏迷不醒、手足抽搐痉挛、舌体短缩、听力丧失等症状，最终导致死亡。
治疗案例：
有一位黄敬宇的妻子，腰部中间剧烈疼痛，腰背僵硬得像木板一样。她误饮了热酒，随后出现发热、烦躁、昏沉以及痰液上涌的症状。请我诊治时，发现其左尺脉虚弱细微，右尺脉洪大有力，且脉搏有间歇停顿的现象，这是痧毒侵袭肾脏的表现。我在其腘窝（腿弯）处刺破显露的痧筋，起初只有紫黑色的血点渗出而不流动。于是让她服用微冷的降香桃花散，服药后，腘窝处的痧筋再次显现，再刺两针，血流如注。之后又服用了两次该方剂，痧症消退，疼痛减轻，经过调理后痊愈。
另一位是伍恒生的儿子，患有腰痛，进行了四次放痧治疗但未痊愈。症状表现为沉重且剧烈的疼痛，并牵连到胸部和胁部。请我诊治时，发现其左手无脉象，我便推辞不治，六天后患者去世。
痧毒侵入大小肠，会导致小腹部剧烈疼痛不止，感觉像是有板子从背后推挤，绞痛不停。治疗时需要分别检查左右大腿，通过屈伸动作来验证病情。
治疗案例：
盛成均的儿子，小腹部剧烈疼痛，总是喜欢向左侧卧，左腿不能屈伸，这是太阳小肠经受痧毒侵袭。当时痧筋未显现，给他服用木通汤，微冷服下四剂后，才在左腿弯处见到痧筋，刺出两针紫黑色的毒血，再用红花汤冷服以泻下，痧症消退后经过调理而痊愈。
范季廉小腹部剧烈疼痛，总是喜欢向右侧卧，右腿不能屈伸，这是阳明大肠经受痧毒侵袭。我在其腿弯处刺破青色静脉四针，毒血流出，但病情未愈。接着使用枳实大黄汤，冷服，半夜时分痧症消退，疼痛稍安。后来经过调理而痊愈。
钟孟芳小腹部剧烈疼痛，放了三次痧仍未愈。请我诊治时，脉象数且急促。我说：“痧毒已经攻坏脏腑了。”于是推辞不治，半个月后患者死亡。
痧毒停留在气分，形成气痞痛；停留在血分，形成血块痛；壅塞于食积阻滞之处，形成食积块痛。这通常是因为刮痧或放痧后症状稍有好转，但痧毒未尽，没有用药将其消除的缘故。治疗方法是：病在气分的，用沉香、砂仁之类的药物；病在血分的，用桃仁、红花之类的药物；因食积阻滞的，用莱菔子、槟榔之类的药物；如果是气血两分都有余毒的，应当兼治；如果更兼有食积阻滞且有余毒的，应当合并治疗。
治疗案例：
王介甫的妻子，腹痛，放了两次痧，忽然左胁部出现肿块，疼痛不止，坐卧不安。请我诊治时，脉象芤而沉微，这是毒邪留滞不行的缘故。使用苏木散和三香散合桃仁红花汤，微温服下，肿块消散，疼痛减轻而痊愈。
陈奉山腹中绞痛，放了三次痧，转变为右胁下的肿块，剧烈疼痛不止，卧床无法起身。请我诊治时，脉象沉实而弦紧，这是食积引起的病变，使用阿魏丸并配合棱术汤加牛膝治疗，痊愈。
夏少溪的妻子，腹痛，放痧后稍有好转，但左胁下变成肿块疼痛，口吐痰涎，卧床不起。请我诊治时，脉象沉而微滑，使用沉香阿魏丸加贝母、白芥子治疗，痊愈。
When Sha poison (Sha toxin) enters the Kidney, it causes severe lower back pain with inability to bend forward or backward. If hot soup or hot wine is mistakenly ingested, it will inevitably lead to restlessness, coma, spasms of the hands and feet, a short tongue, deafness, and ultimately death.
Case Record:
The wife of Huang Jingyu suffered from severe pain in the center of her waist, with stiffness as hard as a board. After mistakenly drinking hot wine, she developed fever, restlessness, lethargy, and surging phlegm. Upon consultation, her left Chi pulse was weak and minute, while the right Chi pulse was flooding and solid, with intermittent pauses. This indicated Sha poison affecting the Kidney. I punctured the Sha veins (visible superficial veins indicating Sha disease) in the popliteal fossa (back of the knee). Initially, only purple-black blood spots oozed without flowing. She was administered Jiangxiang Taohua San (Costus Root and Peach Blossom Powder) taken slightly cold. Subsequently, the Sha veins in the popliteal fossa reappeared. Two more punctures were made, resulting in profuse bleeding. After taking the powder two more times, the Sha symptoms receded, pain decreased, and she recovered after convalescence.
The son of Wu Hengsheng suffered from lower back pain. Four rounds of bloodletting failed to cure him. The condition was characterized by heavy, severe pain radiating to the chest and hypochondrium. Upon consultation, his left hand had no palpable pulse. I declined treatment, and he died six days later.
When Sha poison enters the Large Intestine and Small Intestine, it causes incessant severe pain in the lower abdomen, feeling like being pushed by a board, with unceasing colic. Treatment requires examining both thighs separately, using flexion and extension as diagnostic tests.
Case Record:
The son of Sheng Chengjun suffered from severe lower abdominal pain, often lying on his left side with an inability to flex and extend his left leg. This was Sha disease of the Taiyang Small Intestine Meridian. As the Sha veins were not visible, Mutong Tang (Akebia Decoction) was administered slightly cold for four doses. Only then did the Sha vein appear in the left popliteal fossa. Two punctures released purple-black toxic blood, followed by cold administration of Honghua Tang (Safflower Decoction) to purge. After the Sha symptoms receded, he recovered after convalescence.
Fan Jilian suffered from severe lower abdominal pain, often lying on his right side with an inability to flex and extend his right leg. This was Sha disease of the Yangming Large Intestine Meridian. Four punctures were made into the blue veins in the popliteal fossa, releasing toxic blood, but the condition did not improve. Zhishi Dahuang Tang (Immature Bitter Orange and Rhubarb Decoction) was administered cold. By midnight, the Sha symptoms receded, and he felt somewhat relieved. He eventually recovered after convalescence.
Zhong Mengfang suffered from severe lower abdominal pain. Three rounds of bloodletting failed to cure him. Upon consultation, the pulse was rapid and hurried. I stated, "The Sha poison has already damaged the Zang-Fu organs." I declined treatment, and he died half a month later.
If Sha poison remains in the Qi level, it forms Qi stagnation pain; if it remains in the Blood level, it forms Blood stasis masses/pain; if it obstructs food accumulation, it forms Food stagnation mass pain. This usually occurs because scraping or bloodletting provided slight relief, but the Sha poison was not fully eliminated due to lack of medicinal intervention. The treatment method is: for conditions at the Qi level, use herbs such as Chenxiang (Aquilaria Wood) and Sharen (Amomum Fruit); for conditions at the Blood level, use herbs such as Taoren (Peach Seed) and Honghua (Safflower); for obstruction due to food accumulation, use herbs such as Boluobo (Radish Seed) and Binglang (Areca Nut); if there is residual poison in both Qi and Blood levels, treat both simultaneously; if there is additionally obstruction by food accumulation with residual poison, treat all factors together.
Case Record:
The wife of Wang Jiefu suffered from abdominal pain. After two rounds of bloodletting, a lump suddenly appeared in the left hypochondrium with incessant pain, causing restlessness in sitting and lying positions. Upon consultation, the pulse was Kou (hollow) and sinking-minute. This was due to the retention and stagnation of poison. Susumu San (Lignum Santali Powder) was combined with Sanxiang San (Three Fragrances Powder) and Tao Ren Hong Hua Tang (Peach Kernel and Safflower Decoction), taken slightly warm. The lump dissipated, pain decreased, and she recovered.
Chen Fengshan suffered from colicky abdominal pain. After three rounds of bloodletting, a lump formed under the right hypochondrium with severe, incessant pain, making it impossible to rise from bed. Upon consultation, the pulse was sinking-solid and wiry-tight. This was caused by food accumulation. Awei Wan (Asafoetida Pill) was combined with Lengzhu Tang (Curcuma and Atractylodes Decoction) plus Niuxi (Achyranthes Root), and he recovered.
The wife of Xia Shaoxi suffered from abdominal pain. After slight improvement following bloodletting, a painful lump formed under the left hypochondrium, accompanied by spitting of phlegm and saliva, leaving her bedridden. Upon consultation, the pulse was sinking and slightly slippery. Chenxiang Awei Wan (Aquilaria and Asafoetida Pill) was used with added Beimu (Fritillaria Bulb) and Baijiezi (White Mustard Seed), and she recovered.
Zhang Hongxian's Sha distension transformed into a point of pain above the left breast on the anterior chest. I declined treatment. Half a year later, he died from hemoptysis.